DR. SUSAN KELLER (NPI# 1871688721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871688721 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KELLER |
| Credential | PH.D |
| Practice Address |
631 Tennessee St Vallejo CA 94590-4432 |
| Practice Telephone | 7076430258 |
| Practice Fax Number | 7076430115 |
| Mailing Telephone | 7076430258 |
| Mailing Fax Number | 7076430115 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY16445 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| 1215048327 | Susan Kathleen Kiener Keller | Counselor | 1011 W Springfield Ave, Urbana, IL 61801-3022 | 2006-08-31 |
| 1760436125 | Susan Clark Keller | Social Worker | 307 1st Ave East, Ste 3, Kalispell, MT 59901-4965 | 2006-05-20 |
| 1104201813 | Susan Keller | Physician Assistant | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132 | 2015-07-23 |
| 1508200338 | Susan Kay Keller | Counselor | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-04-23 |
| 1336416239 | Susan M Keller | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-11-20 |
| 1124144340 | Susan M. Keller | Counselor | 20 E 13th Ave, Eugene, OR 97401-3535 | 2007-03-21 |
| 1962514091 | Susan Lynn Keller | Specialist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-08-31 |
| 1598736514 | Susan Keller | Nurse Practitioner | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-28 |
| Street Address |
631 TENNESSEE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215944665 | Carol Jean Meers | Social Worker | 631 Tennessee St, Vallejo, CA 94590-4432 | 2006-08-01 |
| 1073067500 | Gloria F Carroll | Social Worker | 631 Tennessee St, Ste 202, Vallejo, CA 94590-4432 | 2016-08-12 |
| 1508157868 | Paisley Tucker Rosengren | Marriage & Family Therapist | 631 Tennessee St, Vallejo, CA 94590-4432 | 2011-04-21 |
| 1053566471 | Susan Margaret Embree-davis | Marriage & Family Therapist | 631 Tennessee St, Vallejo, CA 94590-4432 | 2008-11-26 |
| 1649420456 | Valerie L Patton | Social Worker | 631 Tennessee St, Vallejo, CA 94590-4432 | 2008-09-29 |
| 1528230919 | Kelly Horton, Psy.d. | Community/Behavioral Health | 631 Tennessee St, Vallejo, CA 94590-4432 | 2008-03-26 |
| 1003978917 | Richard Arthur Frank | Marriage & Family Therapist | 631 Tennessee St, Vallejo, CA 94590-4432 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376646968 | Mary Julia Klimenko | Psychologist | 3 Shoal Dr E, Vallejo, CA 94591-6950 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.